我院于2 0 0 1年7月收治急性坏疽性胆囊炎合并克雷伯杆菌肺炎1例,发生严重感染和窒息死亡。其诊治教训分析如下。1　临床资料病人男性,31岁。突发上腹部绞痛2h ,伴有呕吐,无发热及黄疸。查体:高度肥胖,双肺听诊呼吸音低,蛙腹,肝脾未触及,右上腹压痛,Murphy征阳性。血化验:WBC 8 One case of acute gangrenous cholecystitis combined with Klebsiella pneumonia was admitted to our hospital in July 2001, with severe infection and death from suffocation. The diagnosis and treatment of the following analysis. 1 Clinical data Patient male, 31 years old. Sudden upper abdominal cramps 2h, accompanied by vomiting, fever and jaundice. Physical examination: highly obese, lung auscultation low breath sounds, frog belly, liver and spleen not touched, right upper quadrant tenderness, Murphy sign positive. Blood test: WBC 8